Sorry this will be a long one but for context;
I (f47) was on Mounjaro for 3months before I started Elvanse (no I didn't tell them) in July last year and to start with it was brilliant,. I am very sensitive to meds and they started me on 20mg and titration was very slow. Over a few months. They got to 30mg 3 months later and then wanted to titrate me up 40mg and 50mg within 2 weeks. We'll let's say I tried it!!! The 40mg took alot to get used to and just as it was settling at the end of 2 weeks I only had 50mg left so I went up. My god it was awful, I felt sleepy there was nothing going on in my brain, it felt like an empty space. I honestly could have taken a nap 4hours after taking it and I could not sleep at all at night, I was exhausted and honestly thought 40mg was my dose. So agreed to stay at 40mg and I have stayed on that until 2 months ago. I was working nights and alot of overtime (work was incredibly stressful as there was so much change happening, we were pretty much left to it over night, a lot of work place politics also happening) I had a flare up of reynaulds (which I didn't know I had). I spoke with my GP and he did tests (which were all normal) and he thinks it's primary after talking about my history, and what I thought was normal experiences, but apparently wasn't, it was reynauds and the flare was caused by stress. (great I thought) The elvanse was reduced to 30mg whilst my GP was looking into this. My god it was horrible. The 30mg was doing absolutely nothing. I had also gone on holiday in the UK for 3 weeks when I started on the 30mg and I don't know it it was the combination of burnout, stress (wife was not working due to illness and they were in and out of hospital just before our break away) and change in meds but I begged to go back on the 40mg which they did agree to. But 1month on and I don't feel like the 40mg is doing anything at all, I am not at all focused in the mornings and I am dopamine seeking and procrastinating, I have top up in the afternoon at 2pm of 5mg dex and only then do I feel I am productive or can focus.
So here is the question, my appointment is tomorrow so do I ask to try the 50mg again?
I have stopped mounjaro 6months ago, which I know had an affect on reducing thoughts.
Is it down to stress and burnout from the last few months?
I am scared I won't be able to sleep again and working with the side effects I had last time were unmangable. Can't take any sick time as I'm already about to have a stage 3 meeting (but my job is secure) I work 12-13 hour days and my brain needs to be active the whole time!!!
I'm conflicted and I know my situation is very specific but has anyone else increased when not using mounjaro anymore??